<?php $this->load->view('layout/header'); 
echo form_open('contact/person');
?>
<table class="fieldset">
    <tr class="fieldset">
        <td class="fieldset">
            <fieldset id="form"><legend accesskey="N" tabindex="1"><?=$title?></legend>
                <table><tr>
                    <th><label>Honorific</label></th>
                    <th><label>First</label></th>
                    <th><label>Middle</label></th>
                    <th><label>Last Name</label></th>
                </tr><tr>
                <td><?=$select_Honorific?></td>
                <td>
                    <input type="text" name="First_Name" value="<?=$First_Name?>" size="10" maxlength="30" />
                </td>
                <td>
                    <input type="text" name="Middle_Name" value="<?=$Middle_Name?>" size="6"  maxlength="30" />
                </td>
                <td>
                    <input type="text" name="Last_Name" value="<?=$Last_Name?>" size="10" maxlength="30" />
                </td>
                </tr>
                </table>
                <table><tr>
                <th><label for="Street">Street</label></th>
                <th><label for="Postcode">Zip/Postcode</label></th>
                </tr><tr>
                <td><input type="text" name="Street" value="<?=$Street?>" size="30" /></td>
                <td><input type="text" name="Postcode" value="<?=$Postcode?>" size="6" /></td>
                </tr></table>
                <table><tr>
                <th><label for="phone">Home Phone</label></th>
                <th><label for="phone">Cell Phone</label></th>
                <th><label for="phone">Work Phone</label></th>
                </tr><tr>
                <td><input type="text" name="Home_Phone" value="<?=$Home_Phone?>" size="12" /></td>
                <td><input type="text" name="Cell_Phone" value="<?=$Cell_Phone?>" size="12" /></td>
                <td><input type="text" name="Work_Phone" value="<?=$Work_Phone?>" size="16" /></td>
                </tr></table>
                <table><tr>
                <th width="25%" style="text-align:right;"><label for="Date_of_Birth">Date of Birth</label></th>
                <td><input type="text" name="Date_of_Birth" value="<?=$Date_of_Birth?>" size="10" /></td>
                </tr><tr>
                <th style="text-align:right;"><label for="Website">Personal Homepage</label></th>
                <td><input type="text" name="Website" value="<?=$Website?>" size="30" /></td>
                </tr></table><br />
                <input class="right" type="submit" name="submit_pi" value="Submit" />
        </fieldset>
    </td></tr></table>
</form>
<?php $this->load->view('layout/footer'); ?>
